Multiple linear regression survey on medication adherence and influencing factors in elderly patients with coronary heart disease
Objective To explore the medication adherence and its influencing factors in 130 elderly patients with coronary heart disease(CHD).Methods The clinical data of 130 elderly patients with CHD treated in Jiaozuo Second People's Hospital from August 2022 to September 2023 were retrospectively analyzed.The scores of each i-tem and different characteristics of patients'medication compliance were counted,and the influencing factors of pa-tients'medication compliance were analyzed by incorporating multiple linear regression.Results In the items"Have you ever forgotten to take your medication"and"Have you ever missed taking medication within the past two weeks due to reasons other than forgetting to take medication",the proportion of patients who chose"Yes"was rel-atively high,56.92%and 60.77%respectively.Patients with age>75 years old,unmarried/divorced/widowed,unemployed,employed,combined with diabetes and hypertension had lower scores of medication compliance scale(MM AS-8);the scores of patients in primary school and below were lower than those in middle school,high school and above,and those in middle school were lower than those in high school and above;the score of patients with>4 kinds of medication was lower than that of patients with 4 kinds and<4 kinds of medication,and the score of patients with 4 kinds of medication was lower than that of patients with<4 kinds of medication.The score of patients with monthly family income of 1 000~<2 000 yuan was lower than that of patients with monthly family income of ≥ 3 000 yuan or 2 000~<3 000 yuan,and the score of patients with monthly family income of 2 000~<3 000 yuan was lower than that of patients with monthly family income of ≥3 000 yuan.Patients who took medi-cine>7 times/d were lower than those who took medicine 5~7 times/d and<5 times/d,and those who took medicine 5~7 times/d were lower than those who took medicine<5 times/d(P<0.05).Multiple linear regres-sion analysis showed that age>75 years old,unmarried/divorced/widowed,combined diabetes,hypertension,primary school or below,number of medication>4 kinds,monthly family income 1 000~2 000 yuan,number of medication>7 times/d were the risk factors for medication compliance in elderly patients with CHD(P<0.05).Conclusion A high proportion of elderly patients with CHD forgot to take medication or missed taking medication,while age>75 years old,unmarried/divorced/widowed,combined with diabetes,hypertension,primary school or below,number of medications>4,monthly family income of 1 000~2 000 yuan,and number of medications>7 times/d were risk factors for medication compliance in elderly patients with CHD.Therefore,targeted intervention could be given to improve the medication compliance of elderly patients with CHD.